Lantana Counseling Llc | |
15 Williams St Salem MA 01970-3821 | |
(978) 741-3703 | |
Not Available |
Full Name | Lantana Counseling Llc |
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Speciality | Community/Behavioral Health |
Location | 15 Williams St, Salem, Massachusetts |
Authorized Official Name and Position | Lucia Coale (CLINICIAN) |
Authorized Official Contact | 9787413703 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lantana Counseling Llc 15 Williams St Salem MA 01970-3821 Ph: (978) 741-3703 | Lantana Counseling Llc 15 Williams St Salem MA 01970-3821 Ph: (978) 741-3703 |
NPI Number | 1487239141 |
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Provider Enumeration Date | 03/15/2021 |
Last Update Date | 03/15/2021 |
Certification Date | 03/15/2021 |
Medicare PECOS PAC ID | 7719395086 |
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Medicare Enrollment ID | O20210427000350 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487239141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Lucia Coale |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770616336 PECOS PAC ID: 4688970809 Enrollment ID: I20160314001350 |
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